ATI Custom Fundamentals Final Exam Fall 2023 | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Obtaining a blood pressure for a client who is to be discharged later in the day. The nurse can delegate this task to an assistive personnel (AP) as it is within their scope of practice and does not require critical thinking or decision-making skills. The AP can be trained to accurately measure blood pressure, ensuring the client's safety and well-being. Tasks A, B, and C involve more specialized knowledge and skills that only a nurse should perform.
Choice A requires specific training in tracheostomy care, choice B involves assessing a client post-surgery which may require critical thinking, and choice C involves teaching a preoperative client about using an incentive spirometer, which requires educational expertise.
Therefore, choices A, B, and C are not appropriate tasks for delegation to an AP.

Correct Answer: A

Rationale: The correct answer is A because the Board of Nursing (BON) is responsible for regulating and monitoring laws set by the Nurse Practice Act. The Nurse Practice Act outlines the scope of practice for nurses, including licensure requirements and disciplinary actions. By regulating and monitoring these laws, the BON ensures that nurses adhere to legal standards and provide safe and competent care.


Choice B is incorrect because establishing care protocols for specific health problems is typically within the realm of healthcare organizations or professional associations, not the BON.


Choice C is incorrect because while the BON may have a role in overseeing nursing education standards, its primary focus is on licensure and regulation of practicing nurses.


Choice D is incorrect because determining competencies for licensure is typically done by the BON in collaboration with nursing education programs, but it is not the primary role of the BON.

Correct Answer: D

Rationale: The correct answer is D: Nonmaleficence. Nonmaleficence is the ethical principle that emphasizes the duty to do no harm and to prevent harm to the client. In this scenario, protecting a client's safety aligns with the principle of nonmaleficence as it focuses on ensuring that the client is not harmed by the actions or decisions of the healthcare provider.

A: Beneficence is the ethical principle of doing good and promoting the well-being of the client, which is different from the concept of preventing harm.
B: Fidelity refers to the faithfulness and loyalty in the nurse-client relationship, not specifically related to avoiding harm.
C: Justice relates to fairness and equality in the distribution of healthcare resources and services, but it is not directly linked to the prevention of harm in this context.

In summary, the correct answer is D because protecting a client's safety by not causing harm aligns with the ethical principle of nonmaleficence, which emphasizes the obligation to prevent

Correct Answer: D

Rationale:
Correct Answer: D


Rationale: Palliative care focuses on improving the quality of life for clients facing serious illnesses by providing relief from symptoms, pain, and stress. It can be provided alongside curative treatments to address physical, emotional, and spiritual needs. This holistic approach aims to enhance comfort and promote well-being.
Choice D is correct because it highlights the compatibility of palliative care with curative treatments.

Summary:
A: Incorrect. Palliative care does not aim to cure acute illnesses but rather to provide comfort and support.
B: Incorrect. Palliative care is not limited to terminally ill clients but can be offered at any stage of a serious illness.
C: Incorrect. Palliative care can be provided in various settings, including at home or in a hospice, not just in a health care facility.

Correct Answer: B

Rationale: The correct answer is B: Planning. Planning is the step in the nursing process where the nurse formulates goals and establishes a plan of care to achieve positive outcomes for the client. During this stage, the nurse considers the assessment data gathered in the previous step to set specific, measurable, achievable, relevant, and time-bound goals. The nurse also determines interventions and strategies to help the client reach these goals. Assessment (choice
A) involves collecting data about the client's health status. Evaluation (choice
C) involves assessing the effectiveness of the interventions and determining if goals were met. Implementation (choice
D) involves carrying out the plan of care.

Choices E, F, and G are irrelevant as they are not part of the nursing process steps. In summary, Planning is the correct choice as it directly relates to formulating goals for a positive outcome in the nursing process.